I have pure o ocd, and I’m filling out my heirarchy but I’m struggling to understand triggers and therefore exposures. I generally just get thoughts for no reason, particularly when my mind is idle I just start scanning for potential worries, and there aren’t any specific triggers like with contamination ocd. When I have a specific worry, it just pops up - and although my compulsions are clear (rationalising, reassurance seeking). How do you build out triggers and exposures in this case? Do I need to just think about the worry without doing the compulsion?

My NOCD therapist (who has been awesome) and I are both struggling to identify ways in which I can practice exposure therapy while in-session, because the vast majority of my OCD symptoms are mental compulsions. For example: indecision and inability to commit to a choice; seeking reassurance on decisions from friends and family; mental review of things that have just happened / social situations; over-thinking and catastrophizing. I also have some other hallmark symptoms (contamination fears, moral scrupulosity, etc) but those tend to be inconsistent too. It’s hard to really practice these during my sessions because so many are in the moment and fleeting. By the time I join my session they are no longer active. How can we establish exposure responses during my sessions, if most of my OCD involves mental rumination and overthinking patterns/thought loops that only occur “in the moments - rather than specific or consistent compulsions (such as hand washing)?

Hey everyone. Just watched a YouTube clip from NOCD and it became clear that ERP appears to be best when your ocd is centered around a theme. Ie germs etc. one thing, not many things The struggle with pure O is that it’s not just one thing, it can be ALL things Is there hope for pure O with ERP ? Love to hear the group’s thoughts

One problem - Various themes This is my first post. I had a relapse a few months ago. Life was amazing and then boom, I got triggered by something and started spiralling about my sexuality (having finally been at peace for two years, entered a healthy new relationship and come out of the closet as an older women). How do you, when you're not triggered practice ERP? I'm able to try and accept the thoughts every time I see a man. What should I be doing when I don't encounter these triggers. I was to say as well that I also am starting to get real event OCD about some of the sexual things I did in the past when I was married and in an unhealthy toxic relationship with my ex husband. I am shamed and disgusted and I'm working on it but there's a certain subsection of the LGBTQ community that trigger these thoughts, groinals and thing for me... I feel like I'm beginning to realise I need to maybe be a little more active in my recovery instead of waiting for triggers... But I don't know how